Board Member Application

Date

Name*

First Last

Residential Address*

Street Address Address Line 2 City State ZIP Code

When is your birthday?

Preferred Phone*

Email*

Employer, if employed

Type of business/organization, if applicable

Work Address, if applicable

Street Address Address Line 2 City State ZIP Code

Describe your professional leadership strengths or areas of expertise that will enhance your value as a board member.*

What do you feel are the most important goals for the ACPL Foundation to address to provide significant financial support to the public library?*

Please list boards and communities that you serve on, or have served on (include business, civic, community, fraternal, political, professional, recreation, religious, social).*

Include organization name, your role or title, and dates of service.

Optional - Have you received any awards or honors you'd like to mention?

How do you feel ACPLF would benefit from your involvement as a board member?*

Would you be willing to assist the organization in finding donors?*

Please list any groups, organizations, or businesses that you could serve as a liaison to on behalf of ACPLF.*

Skills, experience, and interests (click all that apply).*

List other skills here.

Is there anything else you'd like to share?

Not required, but if you would like to, you're welcome to uload your resume.

Accepted file types: jpg, doc, pdf, Max. file size: 64 MB.

Board Application